State Quality Dealer Award
Official Nominating Form
Upon submission of this official nomination form, you become a nominee for State Quality Dealer.
Our judges have asked that this nomination form be completed with as much detail and with as much supporting documentation as
possible. Attach additional pages when necessary. Please submit all the information requested in the supplied sleeves.
Upon completion, please return to NMIADA,
by a certain deadline, which must be strictly adhered to in order that all entries may be judged fairly and fully. Please have your
application received by NMIADA by
Thank you for your cooperation.
Full name of Nominee:
Name of Dealership: __
Title in Dealership: ___
Address of Dealership:
Business telephone: Home telephone:
Dealer's home address:
BIOGRAPHICAL INFORMATION (Please enclose photograph - 3" x 5" or larger)
Dealer's age: Date & Place of birth:
Educational history:
Family: Married Widowed Divorced Single
Spouse's name:
Children (name & ages):
AUTOMOTIVE CAREER:
When, where, & how he/she started in automotive business:
Special facts of interest relating to his/her automotive career:
DEALERSHIP HISTORY (Please enclose photograph of lot - 3" x 5" or larger)
Year dealership founded:
History:
Is dealer currently active in his/her dealership? Full time Part time
If more than one dealership is involved, please attach same information for all dealerships.
THE CANDIDATE AS A GOOD DEALER
Number of used cars sold last year:
Physical plant (include improvements): ___
Reputation as an ethical dealer:
Customer loyalty to and opinion of nominee's dealership (attach any customer testimonials):
Number of employees and record of service:
Summary of employee attitudes, adequacy and competence (attach any employee testimonials):
Highlights of nominee's business philosophy:
Dealer organization memberships:
How long has nominee been a member of NMIADA?
How long has nominee been a member of NIADA?
How long has nominee been a member of his/her local IADA (if applicable)?
Name of local IADA:
DEALER ASSOCIATION SERVICE (with dates, specific offices, committee assignments, honors, etc.)
NMIADA
Current:
Past (give dates):
NIADA
Current:
Past (give dates):
THE CANDIDATE AS A GOOD CITIZEN
Civic and community activities (as applicable):
Civic organizations of which a member (list offices held or honors received and give dates):
Civic citizenship awards (explain awards and give dates):
Political service and activities (elective or appointive office held, committee work):
Current:
Past:
Educational Training (business related, other):
Current:
Past:
Religious activities:
Any other forms of service or contributions to benefit others:
Current:
Past:
Additional comments pertinent to nominee's status as a good citizen:
